| NPI | 1457280844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OTT Owner 419-618-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-05-14 |
| Last Update Date | 2026-08-06 |