| NPI | 1619143237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS OLAIDE OSINOWO Medical Director 419-699-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: OH 35-082528) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2008-05-03 |