| NPI | 1245619113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUTHER R JONES Deputy Director 419-450-5735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 913137) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |