| NPI | 1750522801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WIREBAUGH Owner/Sole Proprietor 419-569-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH I10227) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |