| NPI | 1174300602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANELLE MITCHELL Chief Executive Officer 419-202-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |