| NPI | 1134388739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM BROHM CEO 419-589-5511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH PN.065837) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |