| NPI | 1245583673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA L PROCTOR Executive Director/CEO 513-649-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 13351) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 13351) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2018-09-13 |