| NPI | 1053409995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J SORENSEN President 419-367-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I4699) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |