| NPI | 1003111675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJA-LISA ANDERSON Owner 419-564-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH C.0500279) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2024-10-28 |