NPI | 1144978917 |
---|---|
Doing Business As | WILDWOOD COUNSELING SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | BILLI J. LOPEZ Licensed Independent Social Worker 419-704-6520 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-03-11 |
Last Update Date | 2024-03-15 |