| NPI | 1730247800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A RUSSELL President 419-526-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E3714) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-12-30 |