| NPI | 1801451349 |
|---|---|
| Former Legal Business Name | GLORIA JEAN WEBER |
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN WEBER CEO 419-333-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2022-07-20 |