NPI | 1255777090 |
---|---|
Entity Type | Organization |
Authorized Contact | GAUTHAM VYAS MOHAN KRISHNA MADHIRA President Of Board Of Trustees 419-480-9124 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2013-05-20 |
Last Update Date | 2013-05-20 |