| NPI | 1104428986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JAVERSAK Administrator 330-987-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |