| NPI | 1316195506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA POOL Administrator 330-923-7828 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 1116AGH) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |