| NPI | 1952334609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDY SEVERE BRUNO Owner 419-225-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35082630) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-06-26 |