Organization · Type 2 NPI

Divergent Dietitian

Adolescent and Children Mental Health Clinic/Center · Perrysburg, OH

NPI number 1083463749 Active

Practice location

308 Louisiana Ave
Perrysburg, OH 43551-1461

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

5 other providers at this address

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About NPI 1083463749

Divergent Dietitian's National Provider Identifier is 1083463749, issued on May 15, 2024. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Perrysburg, OH. The record was last updated on Sep 11, 2025.