| NPI | 1952979106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAEL L WHITE-DAVIS CEO/Founder 614-407-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |