| NPI | 1801337423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD KELLY Co Owner / Program Director 614-767-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2024-02-12 |