| NPI | 1548968068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RUTH EAGON Director Of Operation 330-255-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |