| NPI | 1336576214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWINA M. LANG-POWERS Agent 513-834-5119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 2232781) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2014-07-16 |