| NPI | 1730358482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GOLDBERG CEO 419-352-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0318) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |