| NPI | 1841020658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORETTA THOMAS Owner 614-203-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |