| NPI | 1891367710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN SIMMONS President 740-249-8061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-12-15 |