| NPI | 1679173629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH MICHELLE CURTIS CEO 330-209-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-30 |