| NPI | 1639921091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA FALLON Owner/Operator/Clinical Director 614-204-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |