| NPI | 1356693345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE COUTCHER Owner 419-376-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1200985) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2017-02-03 |