| NPI | 1417798497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN HACKER Assistant CFO 419-656-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-09-11 |