| NPI | 1679413132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASHAE C COOPER Owner 216-253-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-04-01 |
| Last Update Date | 2026-04-01 |