NPI | 1407057615 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY A BULLOCK Director 419-530-2721 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 3856) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2012-08-14 |