| NPI | 1013345362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL SHARP Clinical Case Manager 330-429-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH S.1200569) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |