| NPI | 1265023592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY VANDERMEER Clinical Director 419-708-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2022-08-31 |