Organization
HOPE419, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA S. WILSON (CEO)
(330) 328-3291
Entity
Organization
Contact information
Practice address
2267 VILLAGE MALL DR UNIT 2, ONTARIO, OH 44906-1369
(419) 951-2020
Mailing address
2267 VILLAGE MALL DR UNIT 2, ONTARIO, OH 44906-1369
(419) 951-2020
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/28/2020
Last updated
09/15/2025
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