| NPI | 1184089757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECEANDRIA DENISE WILLIAMSON CEO 614-843-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 050155) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 050155) |
| 251V00000X Voluntary or Charitable (Licence: OH 050155) | |
| 302F00000X Exclusive Provider Organization (Licence: OH 050155) | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |