NPI | 1194309344 |
---|---|
Entity Type | Organization |
Authorized Contact | MERIANNA LOUISEKARY DAVIS Care Coordinator 419-469-6177 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-05-12 |
Last Update Date | 2021-05-12 |