| NPI | 1619326097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE R PACK Intervention Specialist 419-222-1527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH S1101026) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |