| NPI | 1710974035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB J ELLIOTT Clinical Psychologist/Owner 419-885-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2020-08-22 |