NPI | 1861259012 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRHONDA ANNE STALLWORTH Administrator 513-554-2287 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-04 |