| NPI | 1417104860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS L MILLIKEN Executive Director 740-286-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 2710339) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |