| NPI | 1063547776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE DURAND CFO 401-400-6514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-11-27 |