| NPI | 1720665987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE TUTTLE Chief Executive Of Operations 419-733-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |