| NPI | 1821402348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BOZIAN Board President 740-376-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |