| NPI | 1245902576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MICHAEL WELLS Owner 740-326-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-03-23 |