| NPI | 1699051797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET TISDALE Executive Director 419-244-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 13003) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |