| NPI | 1821389271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHEAL RITTER Owner 614-940-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH c.0700129) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 051029) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2014-09-18 |