| NPI | 1154260289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BOAMPONG CEO 614-962-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-03-25 |
| Last Update Date | 2026-03-29 |