| NPI | 1487972329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE MARIE WELSH Clinical Director 614-203-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0800130-CR) |
| Enumeration Date | 2010-05-15 |
| Last Update Date | 2023-07-12 |