| NPI | 1205579885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS M EGGENBERGER Director 419-704-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-06-20 |