| NPI | 1215961594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M ILES Business Manager 419-281-3716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0002) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-09-12 |