| NPI | 1275873317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO JASKELA Controller 440-428-9082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2022-07-21 |