| NPI | 1619254711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JULIET TATE CEO 614-478-1889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 347C00000X Private Vehicle (Licence: OH RL136860) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2024-03-05 |