| NPI | 1043863384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BELL CEO 419-764-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-08-22 |