| NPI | 1669798526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INEZ C FERRANTE Business Manager 419-747-0819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |