| 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 |