| NPI | 1194007880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GORMAN-EZELL President 419-344-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0700024-SUPV) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |