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