| NPI | 1528486404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TOWNSEND Residential Intervention Specialist 419-720-9586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH C.0601066) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |