| NPI | 1770308173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAN J HALLANE CEO 614-404-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |