| NPI | 1982073334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EARL JENNINGS CEO 614-352-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 34.010652) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 35.071312) | |
| 101YM0800X Counselor Mental Health (Licence: OH 34.010652) | |
| 101YM0800X Counselor Mental Health (Licence: OH 35.071312) | |
| 251B00000X Case Management | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-12-10 |