| NPI | 1306550819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEN SMITH Owner 419-450-0892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-08-29 |