| NPI | 1265442099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE-ANN KOENIG Administrative Director 614-885-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 2587) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |