| NPI | 1003359936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA KNABBS Director 419-322-1587 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-11-26 |
| Last Update Date | 2016-11-26 |