| NPI | 1881043529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. ERIC GENTILE Lpcc 614-940-9834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1100307) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E1100307) |
| 101YM0800X Counselor, Mental Health (Licence: OH E1100307) | |
| 101YP1600X Counselor, Pastoral (Licence: OH E1100307) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |