| NPI | 1174025902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUELLEN WILCOX Owner/Counselor 614-260-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0602020) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |