| NPI | 1962762104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE JONES Revenue Cycle Manager 614-267-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| 251S00000X | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2024-03-05 |