| NPI | 1689362808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JOSEPH O'CONNELL Owner/Practitioner 419-475-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |