| NPI | 1598372245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHERLE E MCKEEVER CEO 330-208-3684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251V00000X Voluntary or Charitable | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2021-07-12 |