| NPI | 1801955240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SNYDER CFO 330-840-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Additional Taxonomies | 310500000X Intermediate Care Facility, Mental Illness (Licence: OH 6700127) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-01-09 |