| NPI | 1972751204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OH 0771606) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2023-04-20 |