| NPI | 1891945549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. BULLOCK Executive Director 330-253-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 390) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |