| NPI | 1770401036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HUGES CEO 419-509-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-07-06 |
| Last Update Date | 2026-07-06 |