| NPI | 1255786992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ELIZABETH FETTERS Clinical Director 740-417-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-11-17 |