| NPI | 1750036711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SEEGER Credentialing Specialist 419-944-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2025-01-16 |