| NPI | 1427729474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SCOTT SPAULDING Credentialing 513-941-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-08-30 |