| NPI | 1568833481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVITA HALDENKER Manager 419-913-6608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MI MI-10206-M) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |