| NPI | 1972895738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBI LYNN STONER Director 419-586-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |