| NPI | 1851645048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GERARD SMYTH Professional Clinical Counselor 740-448-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH E0008310) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |