| NPI | 1285119180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHNIESE G HORTON Pca 614-892-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |