| NPI | 1700220688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LYN HEFT Member 614-537-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 2090322) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |