| NPI | 1912933169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C SHULTZ Owner President 419-289-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-09-11 |