| NPI | 1003555244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERRA NICOLE BRIGHTWELL Owner 330-819-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 251S00000X Community/Behavioral Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 252Y00000X Early Intervention Provider Agency | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2025-11-04 |