| NPI | 1295436012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY SPACHT Licensed Independent Social Worker 419-508-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |