NPI | 1043557341 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY M WORKMAN Director Of Services 740-401-0145 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2013-01-08 |
Last Update Date | 2013-01-08 |