NPI | 1033808324 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA WISEMAN Owner 740-466-4103 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-05-03 |
Last Update Date | 2023-05-03 |