| NPI | 1053161042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN S FOSTER Director Of Operations 330-883-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |