| NPI | 1730726480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO DONINI Business Owner 740-981-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2022-01-04 |