| NPI | 1649050956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE ELLIS CEO 614-783-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2024-02-21 |