| NPI | 1811256274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W. MIKELS Sole Proprietor 419-250-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801061152) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |