| NPI | 1053075937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKIYA BUSH Owner 614-404-7574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WC0400X Registered Nurse, Case Management | |
| 163WC1500X Registered Nurse, Community Health | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development | |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| 163WG0000X Registered Nurse, General Practice | |
| 163WI0600X Registered Nurse, Infection Control | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 251E00000X Home Health | |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2022-07-14 |