| NPI | 1386935633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WHITTINGTON-CLARK Psychologist 419-578-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 0017916) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |