| NPI | 1740097567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY CHAWLA Owner 419-342-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |