| NPI | 1740726702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIAN HILEMAN Owner / President 330-330-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |