| NPI | 1902198120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL MUNCY Clinical Psychologist 614-235-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0004118) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2019-04-10 |