| NPI | 1992597033 |
|---|---|
| Doing Business As | COACH O LEGACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN OWENS Owener 614-783-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251E00000X Home Health | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-29 |