| NPI | 1508360959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY MILLER Manager 614-644-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1000186) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |