| NPI | 1043752058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN PELLETIER Executive Director 513-241-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 10997) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |