| NPI | 1790325561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE COLEMAN TOLBERT Executive Director 614-578-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |