| NPI | 1114174976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK LEROY STONEBURNER President 614-457-8359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I3017) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-11-26 |