NPI | 1043803604 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY HEBRON Owner 202-740-7311 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-02-15 |
Last Update Date | 2021-02-15 |