| NPI | 1104697283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LITZY Co/Owner 614-264-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-05-16 |