| NPI | 1558236315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MANUEL DUARTE CEO 419-283-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-10-09 |