| NPI | 1972100014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MAINS Owner Program Director 740-237-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2024-08-14 |