| NPI | 1427802149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEE L PERRYMAN CEO 419-304-5693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261QM0801X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |