| NPI | 1700268026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN TIERRE SMART Owner/CEO 614-436-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 2547579) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-07-08 |