| NPI | 1215408000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA WALTON Executive Director, Owner 740-704-5067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2023-09-07 |