| NPI | 1912094699 |
|---|---|
| Doing Business As | NORTHLAND INTERVENTION CENTER |
| Entity Type | Organization |
| Authorized Contact | DEEANN N. MOCK C.O.O. 513-753-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 10698) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-07-21 |