| NPI | 1912694910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA SNOW-VELEY Owner 419-266-3676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |