| NPI | 1477912855 |
|---|---|
| Other Name | GLENOVER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W ALLEN Vice President, Finance & Facilitie 937-436-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 3114423) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-12-23 |