| NPI | 1346085727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY R MARCUM Director 614-886-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |