NPI | 1174057004 |
---|---|
Doing Business As | VERTAVA HEALTH OF OHIO - RESIDENTIAL TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | LEIGH ANN THOMPSON Senior Director 615-921-4447 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 201708802010) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2021-12-07 |