| NPI | 1992406094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDAIRIOUS JAWAN HAFFORD Director 513-545-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |