| NPI | 1972492288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENZEL MANN COO 419-785-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |