| NPI | 1366284317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDALYNN DENISE PRICE-DONELSON Biller 419-409-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |