| NPI | 1033595921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE N BECTON Chief Operating Officer 267-934-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |