| NPI | 1053064006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE NIEMAN Director 513-544-1003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine Addiction Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 261QM2800X Clinic/Center Methadone | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-08-01 |