| NPI | 1467397265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSHONA BROWN Doo 330-323-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |