| NPI | 1811362221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WOOSTER Lisw 419-631-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 1451260) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |