| NPI | 1174408017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA L BILLINGS Doo 330-344-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |