OrganizationActive
Crystals Promise LLC
NPI 1093593006 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Madison, OH
Provider details
- NPI number
- 1093593006
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Crystal Ernest, Doo/Owner
Mailing address
6250 N Watling Way
Madison, OH 44057-1957
Registry dates
- Enumerated
- 2023-09-20
- Last updated
- 2023-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.