| NPI | 1417444399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SPAULDING Contract & Provider Relations Mgr. 513-467-2825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-06-03 |