| NPI | 1306069752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY DAVIS CEO 440-934-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 4700514) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-08-29 |