| NPI | 1801755210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABABA AZEEM Owner 614-607-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-03-20 |