| NPI | 1437649613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DENEEN KELLER Counselor 614-305-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I-5798) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |