| NPI | 1033533435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEL MASON Board Member 866-531-3328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |