| NPI | 1518956580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TY BRYANT CEO/ President 614-863-5651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OH 123456789) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |