| NPI | 1740800077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SILVUS Clinical Executive Director 740-617-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-22 |