| NPI | 1750348579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SHEEHAN Vice President 513-785-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 0481) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 10993) |
| 332900000X Non-Pharmacy Dispensing Site (Licence: OH 02-1311500) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-03-17 |