| NPI | 1205151222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA R. HEADLEY DAUGHERTY Senior Partner 740-450-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH E2421) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2019-01-09 |