| NPI | 1134611957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAELANN OLMSTEAD Director Of Practice Administration 614-208-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |