| NPI | 1720046451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH PECK CEO 419-782-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 1140,1975,1297,0989) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 3069,6686) |
| 251300000X Local Education Agency (LEA) (Licence: OH 1140,1975,1297,0989,) | |
| 251300000X Local Education Agency (LEA) (Licence: 10998,3069,6686) | |
| 251B00000X Case Management (Licence: OH 1140,1975,1297,0989) | |
| 251B00000X Case Management (Licence: OH 3069,6686) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 1140,1975,1297,0989) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 3069,6686) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 1140,1975,1297,0989) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 3069,6686) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-02-29 |