| NPI | 1356658918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN FELLS Chief Executive Officer 614-235-1765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 2509351) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |