| NPI | 1669448544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E SIPES Controller 419-562-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 1057) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0177) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 0177) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 0177) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-02-26 |