| NPI | 1558889782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA I DAVIS Social Worker 614-586-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH 1700380) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |