| NPI | 1730594219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE HIXON Office Manager 740-532-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 0588) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 0588) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2023-11-20 |