| NPI | 1871852582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANN TURNER Hr Credentialing Specialist 614-396-6395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 12433) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2023-09-25 |