| NPI | 1316473275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL J KINNERSLEY Owner 419-724-7427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0007948) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |