NPI | 1821761081 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN GREEN Co 419-297-2049 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-07-26 |
Last Update Date | 2021-09-14 |