| NPI | 1043785751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GITI MAYTON CEO 614-291-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |