| NPI | 1952851859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE NIEMAN Director 513-544-1003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: 810396) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: KY 810396) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2023-05-23 |