| NPI | 1982323358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY N SISSON Clinical Director 740-441-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-12-29 |