| NPI | 1982306932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL I VALENTINE CEO 740-569-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |