| NPI | 1265820849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA KOVALL VP Of Managed Care 513-834-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2023-08-01 |