| NPI | 1801959945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN A. KINDERVATER Owner 419-874-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-01-30 |