| NPI | 1588381651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM CUSNER Owner 740-338-2273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-11-21 |