| NPI | 1235694639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MICHELLE NICHOLS CEO 614-499-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2019-02-10 |