| NPI | 1194175497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUIE KIRKBRIDE Managing Partner 740-487-1768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-09-10 |