NPI | 1013626159 |
---|---|
Entity Type | Organization |
Authorized Contact | KEEYANNA CROCKETT Owner 614-927-9325 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
Additional Taxonomies | 310400000X Assisted Living Facility |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
174200000X Meals | |
177F00000X Lodging | |
251S00000X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
324500000X Substance Abuse Rehabilitation Facility | |
347C00000X Private Vehicle | |
Enumeration Date | 2022-11-17 |
Last Update Date | 2022-12-16 |