| NPI | 1720514946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDA WYRICK Chief Financial Officer 740-901-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2022-03-21 |