| NPI | 1144495896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTI LYNNE GATES Lpn Nurse 740-501-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OH PN-114978) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |