| NPI | 1770546251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA DAVIS Billing Clerk 740-532-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 0588) |
| 251B00000X Case Management (Licence: OH 0588) | |
| 101YP2500X Counselor, Professional (Licence: OH 0588) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 0588) | |
| 1041C0700X Social Worker, Clinical (Licence: OH 0588) | |
| 104100000X Social Worker (Licence: OH 0588) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2010-03-18 |