| NPI | 1558874677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI TOPP Owner 419-852-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2019-12-02 |