| NPI | 1093253023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY GRZELAKOWSKI Therapist 740-507-4367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 149016373) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-03-07 |