| NPI | 1184894099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAULSEN Chief Executive Officer 419-625-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 4103) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |