| NPI | 1184012718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTIL CANTERBURY Clinical Counselor 419-742-2745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E. 0900306) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |