| NPI | 1023378155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET S EPPARD Interim CEO And Clinical Director 419-255-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 07-2020) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |