| NPI | 1174122188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELIZABETH MONTGOMERY President And CEO 419-774-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |