| NPI | 1609552892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA SOZIO Lcmhc 740-586-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-04-09 |