| NPI | 1912078312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE T MOSES Owner Provider 740-450-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 34007515M) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |