| NPI | 1447621966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN K SHEPLER President 419-303-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301015402) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |