| NPI | 1235853375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH D RAYFORD Co Owner 419-913-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-06-08 |