| NPI | 1912350380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN TUTTLE Owner 419-605-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I.1501449) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |