| NPI | 1922368166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL RITTER Billing/Medical Records Administrat 614-324-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 1183) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2017-10-11 |