| NPI | 1093888752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY H BORDENKIRCHER CEO 419-592-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 270733) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |