| NPI | 1396336996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH I GORDON Owner 513-293-5761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |