| NPI | 1083463749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY ANNE DARIO Owner 419-410-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |