| NPI | 1649230236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANN TURNER Hr Credentialing Specialist 614-539-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 0153) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: OH 1469, 1642) |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: OH 03153) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: OH 1642) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2022-10-25 |