| NPI | 1467053801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNDA N CANTY Owner/CEO 330-937-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |