| NPI | 1780071183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ATKINSON Credentialing Manager 614-414-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 102L00000X Psychoanalyst | |
| 103TC1900X Psychologist, Counseling | |
| 104100000X Social Worker | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |