| NPI | 1124345152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BEADLE Office Mgr 419-885-5952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 103TS0200X Psychologist, School | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2023-05-19 |