| NPI | 1013653245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J OAKS Owner 614-599-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |