| NPI | 1306324991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY MICHELLE SMITH Chief Executive Officer 614-259-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0500661-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161354) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2019-06-24 |