NPI | 1932486404 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT PHIPPS CEO 740-376-0930 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YP2500X Counselor Professional | |
103TC1900X Psychologist Counseling | |
1041C0700X Social Worker Clinical | |
Enumeration Date | 2011-11-10 |
Last Update Date | 2011-11-10 |