| NPI | 1558235713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX HENDERSON Owner/Authorized Official 419-917-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |