| NPI | 1588900260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B. AUSTIN Admiistrator 440-466-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 28268) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |