| NPI | 1154865400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENITA MCCLAIR Lcdcii Director 513-623-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 141305) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 141305) |
| 291U00000X Clinical Medical Laboratory (Licence: OH 141305) | |
| 347C00000X Private Vehicle (Licence: OH 141305) | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-30 |