| NPI | 1083043848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HUNT Administrative Officer 740-771-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2025-05-21 |