| Ground Work Play Therapy, Inc. | |
| 
					304 County Road 2000 Jeromesville OH 44840-9758  | |
| (419) 289-4825 | |
| (419) 289-4826 | 
| Full Name | Ground Work Play Therapy, Inc. | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 304 County Road 2000, Jeromesville, Ohio | 
| Authorized Official Name and Position | Karla Marie Kirtland-schweyer (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 4192894825 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ground Work Play Therapy, Inc. 304 County Road 2000 Jeromesville OH 44840-9758 Ph: (419) 289-4825  | Ground Work Play Therapy, Inc. 304 County Road 2000 Jeromesville OH 44840-9758 Ph: (419) 289-4825  | 
| NPI Number | 1073952271 | 
|---|---|
| Provider Enumeration Date | 06/20/2013 | 
| Last Update Date | 01/18/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073952271 | NPI | - | NPPES | 
| 0090942 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | E0501218 (Ohio) | Primary |