| NPI | 1164664496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H. VASILAKIS Owner 740-689-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5481) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 5015739) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2010-12-20 |