| NPI | 1043074933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL RAZAK KOROMA Director 614-446-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |