| NPI | 1528366838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TERESA MINOR Owner 740-592-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH RN 149257) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |