| NPI | 1043766207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BARKETT Managing Member 740-587-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5536) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |