| NPI | 1902256175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LYNN JANKOWSKI Clinical Therapist/Member 419-349-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I1100168) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |