| NPI | 1649658725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY CARTER THOMAS Owner 419-822-7319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 1200485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-08-23 |