| NPI | 1114591849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN CASEY President 740-350-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-10-22 |