| NPI | 1659147635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINSEY KAY REEVES Owner 419-357-3674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-10-08 |