| NPI | 1093572836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON GOOLSBY CEO 740-963-2073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |