| NPI | 1679965065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JAMES Chief Executive Officer 419-316-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 13787) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2019-01-03 |