| NPI | 1598862641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B BURGGRAF Executive Director 419-774-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 0405) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 10440) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-07-16 |