| NPI | 1053649178 |
|---|---|
| Doing Business As | ROSE RESILIENCY CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FREEMAN Executive Director 866-343-5509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PA 221370) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 223180) |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: PA MD037460L) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2015-02-09 |