| NPI | 1881022044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L LOWELL Therapist 419-627-9289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |