| NPI | 1457277329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY A HAMISI Owner 614-931-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-06-25 |
| Last Update Date | 2026-06-25 |