| NPI | 1194059394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE M BENEDICT Professional Clinical Counselor 419-483-3918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0005833-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E000258) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2010-09-16 |