| NPI | 1154028306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WILLIAM REICHERT Sole Owner Member 614-506-9471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-20 |