| NPI | 1053108415 | 
|---|---|
| Other Name | PRIVATE PRACTICE | 
| Entity Type | Organization | 
| Authorized Contact | CHERI KAY CRAFT Owner 614-772-5918  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2025-04-21 | 
| Last Update Date | 2025-04-22 |