| NPI | 1942989165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE PARKER CEO 614-407-5819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |