| NPI | 1447519327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RENAE CHALFANT Executive Assistant 740-689-1890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: OH S.0018342) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.0018342) |
| 251S00000X (Licence: OH S.0018342) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2013-01-08 |