| NPI | 1851845275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AALIYAH FAUNTLEROY COO 614-353-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: OH 276400000X) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |