| NPI | 1881957587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE R GAY Executive Director 740-592-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 2864002) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 2864002) |
| 101YM0800X Counselor, Mental Health (Licence: OH 2314525) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2013-05-16 |