| NPI | 1356144380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CORELLA Executive Director 740-632-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-10-17 |