| NPI | 1578113007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN ROBERT NOWAK Owner/Professional Clinical Counsel 419-787-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-04-15 |