| NPI | 1356775159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE T FITCH Lpn 216-812-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OH PN126022-M-IV) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |