| NPI | 1588305999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY PARKER Administrator 419-377-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |