| NPI | 1124645288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ROGERS Owner/Member 614-212-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2022-07-25 |