| NPI | 1780702233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PORTNER Owner President 419-289-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-07-17 |