| NPI | 1396536322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEA BLACKBURN Owner 419-565-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-17 |
| Last Update Date | 2025-05-17 |