| Hope419 | |
|
2267 Village Mall Dr Unit 2 Ontario OH 44906-1369 | |
| (419) 951-2020 | |
| (419) 951-2020 |
| Full Name | Hope419 |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2267 Village Mall Dr Unit 2, Ontario, Ohio |
| Authorized Official Name and Position | Johanna Wilson (CEO) |
| Authorized Official Contact | 4199512020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope419 2267 Village Mall Dr Unit 2 Ontario OH 44906-1369 Ph: (419) 951-2020 | Hope419 2267 Village Mall Dr Unit 2 Ontario OH 44906-1369 Ph: (419) 951-2020 |
| NPI Number | 1184375628 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 04/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184375628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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