| NPI | 1639894041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GREENWALD Billing Specialist 740-771-6387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2023-07-11 |