| NPI | 1497878102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE L SIDDLE Administrator 937-264-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OH 2341RCF) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |