| NPI | 1558294793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JEFFRIES Owner 419-413-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| 163WC1500X Registered Nurse, Community Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2026-06-06 |
| Last Update Date | 2026-06-06 |