| NPI | 1972048213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE CLINE Administrative Director 740-397-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 1311) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |