NPI | 1871180752 |
---|---|
Entity Type | Organization |
Authorized Contact | KESHA JACKSON Social Worker/Mh Clinician 419-807-8185 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-12-28 |
Last Update Date | 2021-04-12 |