| NPI | 1457548224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES S BURKE President 419-872-0619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 35057923) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |