| NPI | 1700587508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT POFFENBERGER Director 440-427-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |