| NPI | 1336619246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR C BUCHANAN Owner 419-509-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 174200000X Meals | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |