| NPI | 1962968859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE D JENKINS Chief Executive Officer 419-244-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-11-04 |