NPI | 1831870104 |
---|---|
Doing Business As | NOBLE VISION BEHAVIORAL |
Entity Type | Organization |
Authorized Contact | LANCE D SULLIVAN Owner 614-439-0908 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
323P00000X Psychiatric Residential Treatment Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2023-07-28 |
Last Update Date | 2025-05-05 |