| NPI | 1699427559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA R PHILLIPS Owner 740-785-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2024-06-17 |