| NPI | 1336753466 |
|---|---|
| Former Legal Business Name | FANNIN CONSULTING SERVICES & ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | RICHARD FANNIN Owner 614-507-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-05 |