| NPI | 1760728661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILROY J SAMUEL Director Of Clinical Research 614-578-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 061029) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |