| NPI | 1619292026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG BROWN Residential Director 330-202-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |