| NPI | 1053859355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE M MINNICH CEO 330-614-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 7610080) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |