| NPI | 1831709641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL RHAJON SCOTT Corporate Compliance 419-297-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |