| NPI | 1164790580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA J GASER Director 614-460-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH S-32039) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |