| NPI | 1093673279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GRAY Clinical Supervisor 419-973-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-07-16 |