| NPI | 1023034386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R DEGARMO CFO 740-782-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 1138884) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |