| NPI | 1881415529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WILLIAM KIZAUR Co Founder 419-367-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-29 |