| NPI | 1295356574 |
|---|---|
| Doing Business As | ETHAN CROSSING OF SPRINGFIELD |
| Entity Type | Organization |
| Authorized Contact | ISAAC ROSEDALE President 513-489-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |