NPI 1063008670

Charisse Ali, LLC a Lasting Impression

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Ashtabula, OH

Practice location

Address: 1440 W Prospect Rd, Ashtabula, OH 44004-6668
Phone: (440) 319-2078
Fax: (440) 998-5820
Mailing address: PO Box 548, Ashtabula, OH 44005-0548

Authorised official

Name: Charisse Lillian Ali
Title: Ceo/Owner
Phone: (440) 319-2078

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Ohio →

Registry record

NPI: 1063008670
Entity type: Organization
NPI issued: 17 Dec 2020
Record last updated: 17 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.