| NPI | 1225199896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W THOMAS WEAVER Executive Director 937-898-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |