| NPI | 1184350118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY NIEMAN Director Of Credentialing 513-873-1269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-09-30 |