| NPI | 1356790018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RIDDLE Licensed Professional Counselor 740-341-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH C.1600205) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |