| NPI | 1376820209 |
|---|---|
| Doing Business As | ENLIVEN RESOURCE |
| Entity Type | Organization |
| Authorized Contact | BROCK ALLAN BAUER Owner 614-940-4868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0700102-SUPV) |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2013-01-01 |