| NPI | 1598206930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SERTELL Executive Director 614-915-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OH I.1450549) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2017-03-18 |