| NPI | 1144902750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE STONE Esq. 330-268-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |