| NPI | 1306648688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW OGLETREE Owner 513-345-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-08-25 |