NPI | 1104623271 |
---|---|
Entity Type | Organization |
Authorized Contact | DWIGHT HALE Chief Executive Officer 419-297-6294 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2025-02-26 |
Last Update Date | 2025-02-26 |