| NPI | 1487937066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JEFFREY EARLE Clinical Therapist 419-873-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH C.0500399) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |