| NPI | 1780300566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM CUSNER Owner 740-338-2273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101200000X Drama Therapist | |
| 101Y00000X Counselor | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 106S00000X Behavior Technician | |
| 251S00000X | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-11-21 |