| NPI | 1427426857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN FEENEY Owner 419-784-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I0800034) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |