| NPI | 1174007934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED BADRA Owner 419-699-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2022-12-27 |