| NPI | 1396832523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD I TAPPER Director 419-531-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 01306583) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |