| NPI | 1013969666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VINSON Director Of Operations 740-532-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 12344) |
| 1041C0700X Social Worker, Clinical (Licence: OH 12344) | |
| 207Q00000X Family Medicine | |
| 251B00000X Case Management (Licence: OH 12344) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-12-06 |