| NPI | 1376512731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A FREY Finance Director 419-425-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0108) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 1290) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2014-04-29 |