| NPI | 1437524097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANTHONY EDWARD DOWNS Owner 269-767-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |