| NPI | 1962641373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE J JOHNSON Executive Director 614-214-3658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 1771699) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |