| NPI | 1235993627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON JONES Doo/CEO 330-347-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-22 |