| NPI | 1386878304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J MONCHER Executive Vice President & CFO 419-557-7793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2019-09-24 |