| NPI | 1295250736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M SEE COO 740-856-9936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-08-05 |
| Last Update Date | 2018-06-16 |