| NPI | 1508239435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY MICHELLE SMITH Counselor 614-259-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0500661-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.081031-3) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2024-02-08 |