| NPI | 1417457946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED S. ROSE Owner/Professional Clinical Counsel 419-410-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1100184) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2022-08-04 |