| NPI | 1528874476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESEAN YOUNGER Owner 330-808-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |