NPI | 1104467158 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL FRANK BLAZIK Consultant 419-366-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-10-01 |
Last Update Date | 2021-06-14 |