| NPI | 1053154427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN EDWARD MCDEW CEO 330-268-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |