| NPI | 1942289301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT S. PHIPPS President 740-376-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OH 579) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2009-04-17 |