| NPI | 1396043360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIETTA WHELAN Clinical Director 419-626-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 100252) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |