| NPI | 1720559420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M JAKOVLIC CEO 740-348-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |