| NPI | 1689220352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN MADUOMA CEO 419-378-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2026-02-09 |