| NPI | 1003361734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINANN M TEGGART Professional Clinical Counselor 419-575-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C00900343) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2024-03-20 |