| NPI | 1073853743 |
|---|---|
| Former Legal Business Name | MOUNDBUILDER GUIDANCE CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | BETTY PATTERSON Credentialing Specialist 740-788-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: OH 35037464) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |