| NPI | 1013168111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY SHARP Business Administrator 440-934-6152 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 4710076) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |