Organization · Type 2 NPI
Ebenezer Maon Assisted Living LLC
Mental Illness Community Based Residential Treatment Facility · Springdale, OH
NPI number
1629939103
Active
Practice location
171 Balsam Ct
Springdale, OH 45246-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1629939103
Ebenezer Maon Assisted Living LLC's National Provider Identifier is 1629939103, issued on Nov 24, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Springdale, OH. The record was last updated on Nov 24, 2025.