| NPI | 1063054427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNIE JOHNSON Licensed Professional Counselor 614-890-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |