| NPI | 1033985387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTONIA JEWELL CEO 330-809-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |