NPI | 1801323928 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN TOOSON Owner/CEO 419-720-6811 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0801X | |
Enumeration Date | 2017-05-19 |
Last Update Date | 2020-01-08 |