| NPI | 1265280879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNIR AHMAD Owner 419-535-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |