| NPI | 1487187225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICETA KING-RICHARDSON Chief Executive Officer 614-584-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2017-04-08 |