| NPI | 1922995364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED FOFANAH Governing Body Chairperson 614-929-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X Community/Behavioral Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |