| NPI | 1902669021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELONIOUS HEATH Clinical Director 419-320-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |