| NPI | 1023084910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY BRENEMAN Billing Specialist 330-788-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-04-17 |