| NPI | 1982338778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYIA ROBERTS CEO 614-804-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2024-07-24 |