| NPI | 1487789228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE R. WRIGHT Program Manager 937-452-7491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: OH 6800135) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |