| NPI | 1841928355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIPPY SUE MACKLIN Psych Mental Health Np 419-234-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-07-24 |