| NPI | 1811213408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM NAUGHTON Administration 419-626-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 070596) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |