| NPI | 1558050112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY THOMAS BRONAUGH CEO 419-266-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |