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 |