| NPI | 1942566468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM J NUTT Director Of Finance 419-841-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0801X | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2017-03-13 |