NPI | 1003086232 |
---|---|
Doing Business As | KINGS |
Entity Type | Organization |
Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH-1844) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2023-05-14 |