| NPI | 1285143594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA NICKOLE DENNIS CEO 419-450-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 201726803838) |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: OH 201726803838) | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |