| NPI | 1952293052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN MYLES Managing Member 614-370-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |