| NPI | 1336118330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GABLE Executive Director 419-584-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0200893) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-12-14 |