| NPI | 1346641610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA M ROBERTS Clinical Social Worker 740-804-9529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1450397) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |