| NPI | 1609138106 |
|---|---|
| Other Name | AMETHYST, INC. MEDICAID AOD |
| Entity Type | Organization |
| Authorized Contact | TERRY L MOORE Chief Financial Officer 614-242-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |