NPI | 1639873797 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA LAUDERDALE Owner 614-462-0236 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-03-30 |
Last Update Date | 2023-08-15 |