| NPI | 1093532491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN NEVAREZ Practice Management Consultant 419-680-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |