| NPI | 1982368379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LLKEITH PRICE CEO 419-297-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |