| NPI | 1770029654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR ANN ELIZABETH MASON Office Manager 614-880-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 0501119) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |