| NPI | 1437771870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE CHARLES METCALF Administrative Officer 330-720-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |