| NPI | 1568646560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L SMITH Executive Director 419-238-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH E.1300033) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2022-02-22 |