| NPI | 1225582752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R SALAZAR Owner 419-305-7214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.00007811-SUPV) |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2018-06-06 |