NPI | 1144539412 |
---|---|
Entity Type | Organization |
Authorized Contact | KETTLIE JOSEPH DANIELS President 419-842-0140 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35057621) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2010-10-04 |