| NPI | 1558300467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JAMES KORMENDY Executive Director 419-734-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 0480) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-22 |