| NPI | 1134983547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RAY MATHUEWS Owner/Provider 740-701-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |