| NPI | 1487168209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIHARIKA PADMALWAR Chief Financial Officer 614-726-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |