| NPI | 1700617198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA RAIS Psychiatrist 419-724-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |