| NPI | 1609115815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SWAISGOOD Office Administrator 419-726-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0500286) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2020-08-11 |