| NPI | 1073132494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEN ELKINS Consultant 614-516-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-17 |