| NPI | 1326872177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROBINSON Manager 614-560-5842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-12-23 |