| NPI | 1568635928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK HOWARD BORGER Chief Operating Officer 614-252-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 12656) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |