| NPI | 1558113985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE CIEARA FIEBELKORN Board President 419-234-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 221700000X Art Therapist |
| 225A00000X Music Therapist | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |