| NPI | 1073054219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BURROW Owner 419-931-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-000-5829-S) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E1600096) |
| 101YM0800X Counselor, Mental Health (Licence: OH C1300382) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E1700029) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |