| NPI | 1487068391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA BERNICE POORE Executive Director 330-284-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: OH 03-7094) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |