| NPI | 1699970608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH M LARIMORE Administrator 740-788-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |