| NPI | 1598537920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI CARTER-GRAVES Chief Executive Officer 614-984-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 305S00000X Point of Service | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |