| NPI | 1033536255 |
|---|---|
| Other Name | SORC REGROWTH |
| Entity Type | Organization |
| Authorized Contact | TRYNA SMOOT Owner/Executive Director 419-378-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207Q00000X Family Medicine | |
| 251S00000X (Licence: OH 13527) | |
| 251S00000X | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-01-16 |