| NPI | 1639878325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELETTA FAIR Operations Manager 614-680-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |