| NPI | 1356790935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN WALKER NORRIS Clinical Nurse 513-293-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: OH PN115127) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |