| NPI | 1306510268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE KINNINGER Owner 419-348-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |