NPI | 1750840773 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDIFATAH OMAR Owner 614-432-3462 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2019-03-19 |
Last Update Date | 2019-03-19 |