| NPI | 1669732814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO FRANK Executive Director 740-446-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |