| NPI | 1700283694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZEKIEL PEEBLES Clinical Director 614-478-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0900173) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |