| NPI | 1851506778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNELLE SUE GARN Director 419-621-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0004667) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E003855) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2025-09-11 |