| NPI | 1376214759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE GAMBY CEO 419-581-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |