| NPI | 1376955211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY L WHITMAN Case Manager 330-988-6536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OH S.0700407) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |