| NPI | 1558760645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN CORNELL Counselor 614-804-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007679) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |