| NPI | 1588087589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WHETSTONE Clinical Social Worker 419-704-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-014471) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-03-17 |