| NPI | 1629560230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI C REITZ Chief Compliance Officer 614-334-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-01-07 |