| NPI | 1497402754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYONA SHERRIE GREENE Treatment Counselor 614-253-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |