| NPI | 1609088798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE MAAG CEO 419-692-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 496) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: RI 40064) |
| 251S00000X Community/Behavioral Health (Licence: MD 00294) | |
| 251S00000X Community/Behavioral Health (Licence: KY 500544) | |
| 251S00000X Community/Behavioral Health (Licence: TN SO10124A) | |
| 251S00000X Community/Behavioral Health (Licence: TN SO10103A) | |
| 251S00000X Community/Behavioral Health (Licence: TN SO10102A) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 046478) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-07-22 |