| NPI | 1922790914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE-ANN MARIE CARTER Case Manager/Care Coordinator 614-622-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 251V00000X Voluntary or Charitable | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |