| NPI | 1053114892 |
|---|---|
| Former Legal Business Name | SACRED JOURNEY RECOVERY SOLUTIONS LLC |
| Entity Type | Organization |
| Authorized Contact | ERIK TIMOTHY SPETTEL Chief Operating Officer 614-357-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |