| NPI | 1023244688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTRAND ITHURRALDE CEO 1775-247-3994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |