| NPI | 1629560503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LARRIMER Owner 614-403-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0012557) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |