| NPI | 1629351648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN YOLANDA DORRIS Owner/Sole Proprietor 740-497-4881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1253) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 82786) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |