| NPI | 1679016760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DOUGLAS BROWN CEO 330-497-9626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 7601107) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 385H00000X Respite Care | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |