| NPI | 1518359819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANNETTE BAYS Owner/Operator 614-352-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 121039) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2020-09-15 |