| NPI | 1730168097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L MILLER Owner Psychologist 740-654-8716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OH 3138) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 3138) |
| 103TC1900X Psychologist, Counseling (Licence: OH 3138) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-22 |