| NPI | 1952067084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE K HILL Credentialing Coordinator 419-725-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-12 |