| NPI | 1972996213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AALIYAH FAUNTLEROY Chief Executive Officer 614-353-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 2193469) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |