| NPI | 1497432736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM CLEVENGER Executive Director 614-957-0164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-01-04 |