| NPI | 1760055388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL C SMITH Owner 330-284-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |