| NPI | 1407553894 |
|---|---|
| Doing Business As | SEAN PHILLIPS RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CHAUNCEY D WALLACE Chief Executive Officer 614-832-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |