| NPI | 1275332116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADARIA JOHNSON Owner 614-373-2317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-04-22 |