NPI | 1477814879 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY BAILEY Chief Compliance Officer 740-395-7930 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 9999) |
261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: OH 0273) | |
Enumeration Date | 2012-06-01 |
Last Update Date | 2024-12-03 |