| NPI | 1164714598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY F HANSON-AKINS Owner 419-575-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I-0009429) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2017-03-20 |