| NPI | 1568521300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. SQUIRES Clinical Director 419-526-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E-1662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-1662) |
| 101YP1600X Counselor, Pastoral (Licence: OH E-1662) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |