| NPI | 1508389750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE THORNBURGH Therapist 614-330-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH 1101620) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |