| NPI | 1043676646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA JAY Clinical Therapist 419-680-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I. 0800149) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-04-23 |