| NPI | 1801601984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYE KING DURDEN Therapist 419-944-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |