| NPI | 1194826123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A PRITCHARD Co Managing Partner 740-695-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E1156) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I5682) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |