| NPI | 1043744345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA L. KASPER Clinical Coordinator 614-633-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1000309) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |