| NPI | 1730336025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELY A SMITH Director Of MIS 740-368-7821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |