| NPI | 1922897305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L CLUTS Systems Analyst 614-487-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |