| NPI | 1104246859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDALYN KEMP Executive Director 330-314-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |