| NPI | 1326817990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA HAAF Owner 740-357-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2024-01-29 |