CHARISSE ALI, LLC A LASTING IMPRESSION is a community based residential treatment facility, intellectual and/or developmental disabilities in Ashtabula, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CHARISSE ALI, LLC A LASTING IMPRESSION NPI is 1063008670. The provider is registered as an organization entity type.
The provider's business location address is:
1440 W PROSPECT RD
ASHTABULA, OH
ZIP 44004-668
Phone: (440) 319-2078
Fax: (440) 998-5820
The provider's authorized official is Charisse Lillian Ali .
The authorized official title is Ceo/owner and has the following contact phone number (440) 319-2078.
The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.