| NPI | 1730655721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA STARR Executive Director 614-406-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |