| NPI | 1588060818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WADE Owner, Professional Counselor 614-545-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1000227) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1000486) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH E.1000597) | |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2017-05-10 |