| NPI | 1457858797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DEAN CEO 614-706-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-24 |