| NPI | 1265953541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON JACKSON President 513-926-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |