| NPI | 1326542507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA S. DEMENT Therapist/Practice Manager 740-205-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2026-03-04 |