| NPI | 1598241507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BIXLER Chief Program Officer 888-733-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 01-7637) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 01-7637) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: OH 01-7637) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 01-7637) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2021-05-04 |