| NPI | 1528534328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANN CHESSER Credentialing Specialist 740-274-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |