| NPI | 1548709389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY WILLIAMS CEO 740-369-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH s1600125) |
| Additional Taxonomies | 251S00000X (Licence: OH 161149) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |