| NPI | 1265048532 |
|---|---|
| Doing Business As | FUSE TRAUMA RECOVERY |
| Entity Type | Organization |
| Authorized Contact | DEANN GOSSARD Owner 419-277-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2024-08-02 |