| NPI | 1477034528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA RODRIGUEZ Administrative Assistant 419-994-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-09-25 |