| NPI | 1811261571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY COOPER CEO 614-423-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 2558601) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |