| NPI | 1790583904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA WILLIAMSON CEO 419-215-8853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-05-31 |