| NPI | 1699804583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE ELIZABETH ROBERTS Fiscal Assistant/Ar 614-857-1217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 097) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-11-22 |