| NPI | 1962762104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA KERNS CEO 614-420-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2025-03-20 |