| NPI | 1538676317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN HOLT CEO 614-445-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 416832) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |