| NPI | 1679464481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY S WATSON Owner 419-537-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |