| NPI | 1093118580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CREDENTIALING DEPARTMENT Credentialing Department 419-913-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 01-7521) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 01-7521) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2026-06-11 |