| NPI | 1033107602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN MCCALL President/Owner 386-717-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |