| NPI | 1184677973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BOYER Executive Director 740-455-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 12226) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |