| NPI | 1457862401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRA T TAYLOR Lpcc S 614-546-7939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0008253-SUPV) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-07-09 |