| NPI | 1376295287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GUARDIOLA Executive Director 419-680-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |