| NPI | 1013274273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BLAIR Executive Director 740-687-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2021-09-27 |