| NPI | 1689114837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J OAKS Owner 614-599-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E0501199-SUPV) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E0501199-SUPV) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2024-04-08 |