| NPI | 1659387991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L MICKUS President & CEO 419-251-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-07-21 |