| NPI | 1174177737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN MACKSYN CEO 330-371-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |