| NPI | 1629021639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SMOLJANOVICH Executive Director 740-283-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 33817) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-04-02 |