| NPI | 1013179225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY ANN EVERT Business Manager 419-422-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35034845E) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2008-06-29 |