| NPI | 1356371710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C SHULTZ Owner President 419-289-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |