| NPI | 1891119509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM BEN Superintendent 740-845-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: OH OH-1202283) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |