| NPI | 1548622723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HITES Psychiatric Nurse Practitioner 419-303-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 15423) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |