| NPI | 1487913539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J SACCENTI Executive Director 419-562-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 0177) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |