| NPI | 1326861329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED S ROSE Co Owner/Professional Clinical Coun 419-410-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |