| NPI | 1992698575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON BASHAW Executive Director 614-981-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |