| NPI | 1144656117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE L JARVIS Owner/Therapist 419-565-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH E.0500279) |
| Enumeration Date | 2013-09-22 |
| Last Update Date | 2013-09-22 |