| NPI | 1609458835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLITA RENA BERGER CEO 614-946-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-05-10 |