| NPI | 1851287130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALNO MIKE DUPONT CEO 440-662-9485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2025-06-14 |
| Last Update Date | 2025-06-14 |