| NPI | 1770890576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYE E MAYNARD Clinical Social Worker 740-963-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I. 1000063) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2024-06-19 |