| NPI | 1821719576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA D WILLIAMS Provider/ Practice Owner 740-954-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2025-10-06 |