| NPI | 1750157020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA TATE CEO 614-329-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-12-29 |