| NPI | 1558725523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATUMA BARQADLE CEO 419-214-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 201606801882) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |