NPI | 1770365769 |
---|---|
Doing Business As | LEORA DAYTON |
Doing Business As | LEORA COLUMBUS |
Entity Type | Organization |
Authorized Contact | CHARLES STOLTZ Treasurer 513-530-1808 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-10-16 |
Last Update Date | 2023-11-21 |