| NPI | 1497373864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI MARIE DELANY Owner 419-775-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2023-07-05 |