| NPI | 1083880603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L BAGNOLA CEO 330-371-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2008-05-29 |