| NPI | 1730494477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LOUISE MCCOY Social Worker 740-438-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I.0008271) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-25 |