| NPI | 1689208258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MILD Executive Director 740-901-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-02-23 |
| Last Update Date | 2020-04-09 |