NPI | 1023370533 |
---|---|
Other Name | AMETHYST, INC. MEDICAID MH |
Entity Type | Organization |
Authorized Contact | TERRY L MOORE Chief Financial Officer 614-242-1284 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2012-06-11 |
Last Update Date | 2012-06-11 |