| NPI | 1487251088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEN EDWARD HEINEMAN Director 513-753-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2023-07-31 |