| NPI | 1164977377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN KNAPP Counselor 419-344-3318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: OH E.1300417) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |