| NPI | 1477004810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GOR President 614-300-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: OH 34006086) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2024-09-23 |