| NPI | 1417501305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANESHIA SLATER VP Of Operations 419-672-0143 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-11-19 |