| NPI | 1730803545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRAH FORREST Chief Financial Officer 614-285-5584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 164W00000X Licensed Practical Nurse | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |