| NPI | 1104447051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHNSON Executive Director 740-307-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2023-06-01 |