| NPI | 1669695318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE KILCORSE Counselor 419-531-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E-0004113) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-09-06 |