NPI | 1174235204 |
---|---|
Entity Type | Organization |
Authorized Contact | YITZHAK ROSEDALE President 513-530-1808 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-12-20 |
Last Update Date | 2025-05-01 |