| NPI | 1013793082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BRUCE Executive Director 740-377-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |