| NPI | 1689472532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LEWIS Managing Member 614-266-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |