| NPI | 1932453586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON ANN ADAMS Owner 614-206-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |