| NPI | 1609834712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEWIS KAYLOR President/CEO 614-252-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-03-03 |