| NPI | 1407536436 |
|---|---|
| Doing Business As | ROOTED THERAPEUTIC HEALING |
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICHOLE THIELMAN Clinical Director 419-481-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-08-12 |