| NPI | 1891435467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SCOTT SPAULDING Credentialing 513-941-9999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM2800X Clinic/Center Methadone | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2024-08-30 |