| NPI | 1093118580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HILL Credentialing Coordinator 419-494-9310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 01-7521) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 01-7521) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2021-11-12 |