| NPI | 1437426673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HONG SIK KANG President 740-354-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OH 35-043022) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |