| NPI | 1669730487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J SHEPOSH CEO 740-264-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 1310) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |