| 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 |