| NPI | 1174670285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D MICHAEL SNOW Superintendent 614-272-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OH 2514097) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 2514097) |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: OH 2514097) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-12-05 |