| NPI | 1699532754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HAIRSTON Owner 419-215-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |