| NPI | 1003571795 |
|---|---|
| Former Legal Business Name | LAND OF GOSHEN TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | AMY LYNN SMITH COO 740-442-7758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |