| NPI | 1033515333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMYNDA RHODES Sole Member 740-877-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OH 6873) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2020-11-30 |