| NPI | 1962619635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ARNOLD Program Director 614-293-8704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: OH 57-007294) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |