| NPI | 1083702229 |
|---|---|
| Other Name | ALICE C. TYLER VILLAGE OF CHILDHELP |
| Entity Type | Organization |
| Authorized Contact | LISA CARPENTER Sr. Director Of Revenue Cycle Mgt. 276-617-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-01-02 |