OrganizationActive
Divergent Dietitian
NPI 1083463749 · Adolescent and Children Mental Health Clinic/Center · Perrysburg, OH
Provider details
- NPI number
- 1083463749
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bethany Dario, Owner(419) 410-3541
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
308 Louisiana Ave
Perrysburg, OH 43551-1461
Phone: (567) 801-0792
Approximate (ZIP-level) locationGet directions
Mailing address
308 Louisiana Ave
Perrysburg, OH 43551-1461
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2025-09-11
- Certified
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.