| NPI | 1669800785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERIS WANGECI GITAHI Direct Care Staff 614-556-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |