| NPI | 1568767481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLO G. JENNINGS Owner 419-691-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I8633-S) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |