| NPI | 1912684846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDALYNN PRICE-DONELSON Chief Operating Officer 419-283-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-12-14 |