| NPI | 1548863202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROBERT PHILLIPS CEO 740-393-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |