| NPI | 1164068540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE GINN Owner 216-417-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2026-06-03 |