| NPI | 1891235545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MICHELLE CASTELLO Office Manager 614-905-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I. 1201523) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2021-08-18 |