| NPI | 1639020274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALON CARR Owner 419-503-7863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-02-09 |
| Last Update Date | 2026-03-20 |