| NPI | 1457199911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA YVETTE LOCKETT Doo 440-742-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |