| NPI | 1033365192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SWAN Vice President Of Operations 800-950-3434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |