| NPI | 1144763012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE SEWELL Owner 614-589-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 1361) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |