NPI | 1871168583 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK J FOWLER Owner 614-593-2649 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2021-05-25 |
Last Update Date | 2021-05-25 |