| NPI | 1679938062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENISE HARMON Owner 614-209-8948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I.1101322-S) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |