| NPI | 1912861683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BRYANT Owner 614-670-6252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |