| NPI | 1902926405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG SNYDER CFO 330-840-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: OH 256191) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-01-31 |