| NPI | 1154918571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE STUART Partner 419-908-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2024-11-19 |