| NPI | 1538619523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MONTGOMERY Lpn 614-278-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OH 110204) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |