| NPI | 1528661840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KABA Owner 614-800-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |