| NPI | 1770002594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HARTMAN Clinical Social Worker 614-450-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500103) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2021-11-09 |