NPI | 1578701199 |
---|---|
Other Name | WILLIAMS STREET |
Entity Type | Organization |
Authorized Contact | THAN JOHNSON Chief Executive Officer 937-653-1320 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2009-02-04 |
Last Update Date | 2009-02-04 |