| NPI | 1255099495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY DANEC CEO 614-209-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2023-10-18 |