| NPI | 1427024124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE R GAY Executive Director 740-592-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 2314525) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-05-14 |