| NPI | 1598175010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ISAAC KIRKER Clinical Therapist/Social Worker 614-336-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 0922648) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 0900648) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |