| NPI | 1528237195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN A JOHNSON CFO 419-238-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |