| NPI | 1760119416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRESCIA ERICA POTH Licensed Independent Social Worker 419-566-5278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |