| NPI | 1588824064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHIE LYNN WATSON-GRAY Medical Director 740-532-7855 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 35 074290) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |