| NPI | 1063951002 |
|---|---|
| Doing Business As | 121 COMMUNITY SERVICES |
| Entity Type | Organization |
| Authorized Contact | IAM TRUST Managing Member 888-596-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |