| NPI | 1124089438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JORDAN Executive Director 740-403-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 01322) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-02-21 |