| NPI | 1740610989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA D. SKRZYNECKI President 419-842-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 1130) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: MI 2301004899) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |