| NPI | 1235592726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JANINE KORTE Clinical Counselor 419-806-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E3707) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |