| NPI | 1366284275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RAYFORD Owner 419-913-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |