| NPI | 1861022550 |
|---|---|
| Other Name | BLICK CLINIC, INC |
| Entity Type | Organization |
| Authorized Contact | JAN N PHILLIPS Billing Manager 330-762-5425 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-04-02 |