| NPI | 1356825640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CRYTZER Owner 304-743-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2020-06-23 |