| NPI | 1346104486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DEAN Admin 614-762-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-18 |