| NPI | 1073882155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CHRISTOPHER CFO 740-237-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 13218) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2012-12-20 |