| NPI | 1922760206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN B REYNOLDS CFO 740-708-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |