| NPI | 1750902250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE SANDERS President 614-655-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2024-10-27 |