| NPI | 1518224799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE CASARES CEO 614-294-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: OH 25149) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: OH 0251) |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: OH 0251) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |