| NPI | 1871006296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANNETTE BLINE Chief Executive Officer 614-578-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: OH 5339) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |