| NPI | 1619993797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINO DIIULLO Owner President 614-433-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-09-25 |