| NPI | 1073809901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJA GILBERT CEO 800-990-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |