| NPI | 1689858854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RAYMOND PAUGH Owner 614-261-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 6387) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |