| NPI | 1902250640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW K ROHDE Owner 419-341-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 1400476) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-10-04 |