| NPI | 1689033532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI WILLIAMS Operations Manager 614-901-0590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |