| NPI | 1831868348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNA KING CEO 419-467-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |