| NPI | 1043484397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN BARNOT Dc 330-637-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 3480) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |