| NPI | 1154742294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE EVERSOLE Licensed Independent Social Worker 419-654-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH I. 1303306) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |