| NPI | 1841785763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES LIVINGSTON Counselor/Social Worker 740-381-6758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C1400074) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S7605) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-09-20 |