| NPI | 1215482229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A ELLIS Clinical Director/Supervisor 740-441-7954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 981153-cs) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |