| NPI | 1306140785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M. BECKER-FRITZ CEO 740-881-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OH COA03738-NS) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2011-04-13 |