| NPI | 1487063699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDA MARIE HARRAH Clinical Therapist 740-397-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OH S1450673) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |