| NPI | 1104867688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA CHRISTINE KLINE Home Aide 937-746-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |