| NPI | 1679839088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE HAWLEY Clinical Social Worker 614-440-6659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I0700262) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |