| NPI | 1831718212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY LYNN ANDERSON Director 513-602-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 174200000X |
| 251B00000X Case Management | |
| 251S00000X | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |