| NPI | 1447624143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI NICHOL CARPENTER Behavior Specialist 419-476-7859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH S.1450770) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |