| NPI | 1205379138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN KERN Partner 419-202-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1400458) |
| Enumeration Date | 2016-11-26 |
| Last Update Date | 2016-11-26 |