| NPI | 1952733586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA K BEACH Credentialing Coordinator 419-221-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL 320700000x) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |