| NPI | 1861261703 |
|---|---|
| Other Name | OWEN ANDREW ECKENRODE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186839) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-08-15 |