| NPI | 1164782017 |
|---|---|
| Former Legal Business Name | NOVA HOUSE ASSOCIATION, INC. |
| Entity Type | Organization |
| Authorized Contact | JOHN W GORIS CEO 937-253-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 1407) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 10-2063) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |