| NPI | 1982936951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIAT JOHNSON Senior Administrator 614-525-9638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I. 0010240 SUPV) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |