| NPI | 1821475187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANITA JANE BURTON Clinical Social Worker 740-687-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I0004084) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-08-30 |