| NPI | 1679445910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA BENSON Owner 330-472-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |