| NPI | 1346856572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES REGINA MOORE Social Worker 419-322-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |