| NPI | 1205188588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ONYINYECHI URADU Medical Director 606-393-4632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X (Licence: OH 13303) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2022-10-04 |