| NPI | 1417429267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ADEN AHMED CEO 614-207-8207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2020-06-18 |