| NPI | 1023047883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATAUL HAQUE Office Manager 866-887-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |