| NPI | 1598428211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORLINE FORD Counselor 614-890-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |