NPI | 1750036711 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE HILL Credentialing Coordinator 419-725-5582 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2022-02-18 |
Last Update Date | 2022-02-18 |