| NPI | 1417113127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CRUMWELL Lpn 614-595-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OH pn104936) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |