| NPI | 1174307334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERVIN HENDERSON Manager And CEO 513-202-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-22 |