| NPI | 1346984242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CAMERON JOHNSON Owner 614-875-0079 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine Addiction Medicine | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |