| NPI | 1275235103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SAGI Executive Director 419-917-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2026-04-22 |