| NPI | 1558861120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KAY HUNT Administrator 419-332-3378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2020-08-10 |