| NPI | 1487299715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE YVONNE LIZARDI Medicaid Billing Specialist Ii 614-227-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |