| NPI | 1740886969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALAN STEWART President 330-687-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |