| NPI | 1477156388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA COFIE Director 614-425-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2020-12-14 |