| NPI | 1801154950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA DAVIS Billing Clerk 740-532-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 0588) |
| 101YM0800X Counselor Mental Health (Licence: OH 0588) | |
| 101YP2500X Counselor Professional (Licence: OH 0588) | |
| 103TC0700X Psychologist Clinical (Licence: OH 0588) | |
| 104100000X Social Worker (Licence: OH 0588) | |
| 1041C0700X Social Worker Clinical (Licence: OH 0588) | |
| 251B00000X Case Management (Licence: OH 0588) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-06-19 |