| NPI | 1104693050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLIE SEVERIN Owner 614-406-3591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-28 |