| NPI | 1437626587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA M MCCULLOCH Owner, Clinical Director 419-656-7954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2024-02-19 |