| NPI | 1760356935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX HENDERSON Owner/Authorized Official 419-917-6796 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |