| NPI | 1811325301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SHAUN JESSE CEO 614-445-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |