| NPI | 1598569576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA JONES Owner 614-421-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |