| NPI | 1124728738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL AMPARBENG Owner/CEO 740-620-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0801X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |