| NPI | 1871700427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISATU MANSO SAMURA Nurse 614-251-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 277269) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |