| NPI | 1427125087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO CABATAN Owner 419-782-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-07-9199-C) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E2289) |
| 1041C0700X Social Worker, Clinical (Licence: OH I 1490) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-04-16 |