| NPI | 1174418925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M OLDS Executive Director 419-552-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-08-13 |