| 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 |