| NPI | 1528563079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HARVEY Executive Director 419-868-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 01-0618) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2020-04-23 |