| NPI | 1952022964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SISSON Clinical Director 740-441-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-07-19 |