| NPI | 1720632664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHANNA ALFRED CEO 419-320-5452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2022-04-08 |