| NPI | 1851871677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM OATS Administrator 419-349-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 01-7629) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2020-01-09 |