| NPI | 1295379337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GITI L. MAYTON CEO 614-706-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2020-03-13 |