| NPI | 1649778853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA DIDION Executive Director 419-656-9074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |