| NPI | 1033134390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. LAWRENCE Revenue Cyle Manager 419-226-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: OH 35047163-W) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-01-13 |