| NPI | 1932468105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A. ELAM Owner/Manager 216-255-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |