| NPI | 1992458418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON K ABBOTT Owner 419-343-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2023-02-15 |