| NPI | 1124838404 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | ASHANTIA JONES Owner 419-810-3825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |